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LitCovid-sentences  

PMC:7455774 JSONTXT 17 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T1 0-98 Sentence denotes Sentenced to life: what the Italian COVID-19 pandemic could teach us (if we were willing to learn)
T2 100-318 Sentence denotes One of the saddest images of SARS-CoV-2 pandemic in Italy was the fleet of military trucks transporting the coffins of coronavirus victims out of Bergamo as the local crematoriums could no longer keep up with the dead.
T3 319-511 Sentence denotes COVID-19 has denied dignity to the dead: it isolated people from their loved ones right before they died, and then it did not allow any family or friends around while being buried or cremated.
T4 512-610 Sentence denotes SARS-CoV-2 pandemic hit Italy very hard, with 247,158 cases and 35,132 deaths as of July 30, 2020.
T5 611-797 Sentence denotes According to the International Long-Term Care Policy Network [1], up to 57% of deaths from the virus occurred at long-term care facilities, a number that might be largely underestimated.
T6 798-1063 Sentence denotes Besides some unavoidable strategic mistakes that were made due to the little experience in dealing with the new virus, the demographics and background disease in the population living in long-term care facilities in Italy have undoubtedly played a pivotal role [2].
T7 1064-1249 Sentence denotes As reported by the Italian Institute of Statistics, out of 382,634 residents in Italian long-term care facilities, 75.2% were older than 65 years and 57.1% were not self-sufficient [3].
T8 1250-1364 Sentence denotes Data of an epidemiological study [4] showed that the mean age of residents at the time of death was over 85 years.
T9 1365-1542 Sentence denotes 74% of deceased residents had more than two morbidities, more than a half (55.0%) were suffering from very severe dementia, with the worst cognitive status shortly before death.
T10 1543-1838 Sentence denotes Since the mean length of stay before death was very short (6 months), long-term care facilities are places where people go (are sent) to die when they are highly dependent because of end-stage multimorbidities and advanced dementia, without any chance of shared decision about their end of life.
T11 1839-1984 Sentence denotes This frail, multimorbid, severely cognitively impaired, non-self-sufficient population formed a very easy harvest for the SARS-CoV-2 to mow down.
T12 1985-2074 Sentence denotes Would this scenario had been the same if we cared more for quality than quantity of life?
T13 2075-2189 Sentence denotes Are we actually practicing a patient-centered and a narrative medicine approach when taking care of these persons?
T14 2190-2324 Sentence denotes When caring for the older patient’s health, do we see dignity, namely autonomy, identity, and worthiness, as the core value of health?
T15 2325-2541 Sentence denotes Lastly, can we honestly affirm that these patients would have not chosen to avoid medical cures aimed to lengthen life, had they better understood their medical choices and the tradeoffs they were going to deal with?
T16 2542-2895 Sentence denotes No clinician, no specialty, no patient is immune from this problem, whose causes are manifold: fee-for-service payment, paucity of strong clinical evidences, fear of liability and subsequent defensive medicine when dealing with patient and patients’ relatives, who believe that there’s always one more test, one more treatment, one more journey of hope.
T17 2896-3044 Sentence denotes End-of-life discussions in Italy are still too often a taboo subject, and public perception of death as a medical culpable failure is deeply rooted.
T18 3045-3231 Sentence denotes As difficult as it is, this topic needs to be addressed to manage medical treatments and to reduce overuse of medical services for older, frail patients with serious, chronic conditions.
T19 3232-3374 Sentence denotes Fostering and nurturing hope even at the end of life is significant, though it cannot translate to patients into increased pain and suffering.
T20 3375-3480 Sentence denotes In the Atlantic Monthly in January, 1957, an anonymous American wrote “There is a new way of dying today.
T21 3481-3714 Sentence denotes It is the slow passage via modern medicine. … If you are going to die, it can prevent you from so doing for a very long time” arguing that modern medicine “made dying … an ordeal which has somehow deprived death of its dignity.” [5].
T22 3715-4192 Sentence denotes If we want to restore dignity to death, cancel the 1957 Atlantic Monthly prophecy and never see again in Italy the tragic images of SARS-CoV-2 victims carried away by military trucks, we need to change the culture of medicine, stop lip service and effectively promote knowledge, training and access to palliative care, implement shared decision making and advanced care planning, and, overall, debunk the views of the power of medicine to prevent death as its foremost purpose.
T23 4193-4361 Sentence denotes Nowadays, whether SARS-CoV-2 is getting weaker and kills much less people than before is a matter of very heated debate among academic, prime time virologists in Italy.
T24 4362-4709 Sentence denotes As a hospitalist, I sadly believe that SARS-CoV-2 just killed the ones who were to die: the multimorbid, severely cognitively impaired, non-self-sufficient older patients that we had sentenced to life in long-term care facilities, enduring the dying process pursuing quantity of life in spite of quality of life and the right to a dignified death.
T25 4711-4727 Sentence denotes Publisher's Note
T26 4728-4846 Sentence denotes Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
T27 4848-4855 Sentence denotes Funding
T28 4856-4860 Sentence denotes N/A.
T29 4862-4895 Sentence denotes Compliance with ethical standards
T30 4897-4917 Sentence denotes Conflict of interest
T31 4918-4974 Sentence denotes The author declares that he has no conflict of interest.
T32 4976-4992 Sentence denotes Ethical approval
T33 4993-5102 Sentence denotes This article does not contain any studies with human participants or animals performed by any of the authors.
T34 5104-5120 Sentence denotes Informed consent
T35 5121-5175 Sentence denotes For this type of study formal consent is not required.